Zepzelca (lurbinectedin) vs Exkivity (mobocertinib)
Zepzelca (lurbinectedin) vs Exkivity (mobocertinib)
Zepzelca (lurbinectedin) is a chemotherapy drug approved for the treatment of adults with metastatic small cell lung cancer (SCLC) that has progressed after prior platinum-based chemotherapy. Exkivity (mobocertinib) is a targeted therapy specifically designed for adults with non-small cell lung cancer (NSCLC) that has a specific mutation (EGFR exon 20 insertion mutations) and has spread to other parts of the body. When deciding between these two medications, it is crucial to consider the type of lung cancer and its genetic makeup, as Zepzelca is used for SCLC, while Exkivity is tailored for a subset of NSCLC patients, and the decision should be made in consultation with an oncologist.
Difference between Zepzelca and Exkivity
Metric | Zepzelca (lurbinectedin) | Exkivity (mobocertinib) |
---|---|---|
Generic name | Lurbinectedin | Mobocertinib |
Indications | Metastatic Small Cell Lung Cancer (SCLC) | Metastatic non-small cell lung cancer (NSCLC) with EGFR Exon20 insertion mutations |
Mechanism of action | Inhibits transcription and induces DNA breaks | Tyrosine kinase inhibitor targeting EGFR Exon20 insertion mutations |
Brand names | Zepzelca | Exkivity |
Administrative route | Intravenous | Oral |
Side effects | Myelosuppression, fatigue, increased liver enzymes, nausea, decreased appetite, musculoskeletal pain, respiratory infections | Diarrhea, rash, nausea, vomiting, stomatitis, decreased appetite, paronychia, dry skin, decreased weight, cough |
Contraindications | Hypersensitivity to lurbinectedin or excipients | Hypersensitivity to mobocertinib or any component of the formulation |
Drug class | Alkylating drug | Tyrosine kinase inhibitor |
Manufacturer | Pharma Mar | Takeda Oncology |
Efficacy
Zepzelca (lurbinectedin) for Small Cell Lung Cancer
Zepzelca (lurbinectedin) is a medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of adults with metastatic small cell lung cancer (SCLC) that has progressed after prior platinum-containing therapy. Small cell lung cancer is a fast-growing type of lung cancer that is often diagnosed at an advanced stage. Zepzelca works as an alkylating drug that binds to the DNA in cancer cells, preventing them from dividing and leading to cell death.
The efficacy of Zepzelca was evaluated in a multicenter, single-arm, open-label clinical study. The study involved patients with metastatic SCLC who had disease progression on or after platinum-based chemotherapy. Results showed a significant rate of overall response, with a median duration of response lasting several months. These findings suggest that Zepzelca can provide a meaningful treatment option for patients with limited alternatives due to the aggressive nature of relapsed or refractory SCLC.
Exkivity (mobocertinib) for Non-Small Cell Lung Cancer
Exkivity (mobocertinib) is an oral medication specifically designed for the treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 20 insertion mutations, whose disease has progressed on or after platinum-based chemotherapy. NSCLC is the most common type of lung cancer, and exon 20 insertion mutations represent a subset of EGFR mutations that are associated with a poor prognosis and limited treatment options.
The approval of Exkivity was based on the results of a multicenter, non-randomized, open-label, multi-cohort clinical trial. The trial demonstrated a significant response rate in patients treated with mobocertinib, with many experiencing a reduction in tumor size. The median duration of response also indicated that Exkivity could offer a substantial benefit for patients with this specific genetic alteration. This targeted therapy represents a significant advancement in precision medicine for lung cancer, providing a new line of treatment for a previously hard-to-treat patient population.
Regulatory Agency Approvals
Zepzelca
Exkivity
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